Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elyse Wiedemann, MS, CCC-SLPTSSLD

Individual provider Speech-Language Pathologist · NPI 1326657396

Elyse Wiedemann, MS, CCC-SLPTSSLD is a Speech-Language Pathologist in League City, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2020
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

276 W Fork Dr
League City, TX 77573-3484
Phone: (412) 965-4463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 116547 (TX)

Record details

NPI number1326657396
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLPTSSLD
Sole proprietorYes
NPI enumeratedJuly 27, 2020
Last updated in NPPESJuly 27, 2020
Certification dateJuly 27, 2020

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